title: Treatment of upper limb extensor hypertonia: case report.
abstract: We describe a case of wrist and finger extensor hypertonia treated successfully by division of the hypertonic musculotendinous units and functional replacement using conventional tendon transfer techniques for radial nerve palsy. This report emphasizes the important role of regional nerve blocks in assessment and in operative decision making in a case of extensor hypertonia of the upper limb.
authors.affiliation: Department of Plastic Surgery, Hand Surgery, Reconstructive Microsurgery, and Burns, Ganga Hospital, Coimbatore, India.
authors.forename: Praveen
authors.initials: P
authors.lastname: Bhardwaj
authors.forename: S Raja
authors.initials: SR
authors.lastname: Sabapathy
mesh_terms: D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D009122:Muscle Hypertonia / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D009128:Muscle Spasticity / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery; D009407:Nerve Block; D009989:Orthotic Devices; D020425:Radial Neuropathy / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D016059:Range of Motion, Articular; D013709:Tendon Transfer / Q000379:methods*; D034941:Upper Extremity / Q000503:physiopathology / Q000601:surgery*; D055815:Young Adult
keywords: Extensor spasticity; extensor hypertonia; role of nerve blocks in spastic upper limb; spastic hand; tendon transfer